Based on recently released Census Bureau data, women made up almost half of the workforce last year. Yet, even working full-time and year-round, they were paid only 79 cents for every dollar men made. The wage gap varies considerably between states. Women receive 86 cents for every dollar men make in New York, for example, while in Louisiana, women are paid just 66% of what men earn.

Income inequality is only one of the challenges women face. Across the nation, women are less likely to serve in leadership roles both in the private and public sectors. Health outcomes among female populations also vary considerably between states. Based on 24/7 Wall St.'s analysis, Mississippi is the worst state for women in the nation.

In all of the worst-rated states, women were less likely than their male peers to hold private-sector management positions. In two of the worst states — South Dakota and Utah — women held fewer than one in three management jobs. According to Ariane Hegewisch, study director at the Institute for Women's Policy Research, women are discriminated not just in base pay, but also lack career opportunities available to men. "A lot of [the wage gap] is also promotions, recruitments and networking," Hegewisch said. Perceptions of performance can also be affected by gender, meaning "the more the pay is related to performance and bonuses, the bigger the wage gap."

Women in the worst-rated states were also less likely to have leadership roles in government compared to women in the rest of the country. Only six of the 10 states had any female representation in Congress. Many of these states were among the nation's worst for female representation in their own state legislatures as well. State Senates usually have between 30 and 50 Senators. Of the 10 states on this list, however, only Kansas had more than 10 female senators.

While the United States is among the most developed countries in the world, it was one of just a handful of nations where maternal mortality actually rose over the last decade, according to a recent study published in The Lancet, a respected medical journal. Pregnancy related mortality rates vary considerably between states.

To determine the worst states for women, 24/7 Wall St. developed on a methodology based on the Center for American Progress' 2013 report, "The State of Women in America."

We divided a range of variables into three major categories: economy, leadership and health. Data in the economy category came from the U.S. Census Bureau and included male and female median earnings, the percentage of children enrolled in state pre-kindergarten, state spending per child enrolled in pre-kindergarten and education attainment rates. The leadership category included data on the percentage of women in management occupations from the Census. It also includes the share of state and federal legislators who are women, and states that currently have female governors. The health section incorporated Census data on the percentage of women who were uninsured as well as life expectancy. Infant and maternal mortality rates came from the Kaiser Family Foundation. Data on the expansion of Medicaid, as policies towards maternity leave, sick days and time off from work came from the National Partnership for Women and Families.

State rankings on each of these measures were averaged to determine a score for each category. Possible scores ranged from 1 (best) to 50 (worst). The three category scores were averaged to create an indexed value that furnished our final ranking.

Utah is the worst state for women. Less than 31% of management positions were held by women in Utah, the second lowest rate nationwide. Women were also less likely than women in the vast majority of states to hold leadership roles in government. Of the 75 seats in the state's House of Representatives, just six were filled by women last year. And there were just five female state-level senators. In all, women made up just 16.3% of state legislators, less than in all but five other states. Perhaps the lack of women in traditionally high-paying management and high-level government occupations has exacerbated the gender pay gap. While a typical man in Utah earned more than $50,000 last year, most women made 70% — or $35,252 — of that figure, nearly the largest pay discrepancy in the country.

Wyoming had one of the country's largest pay disparities between men and women. The median earnings for a woman working full-time, year-round was just $35,829, slightly lower than the U.S. median. By contrast, the comparable figure for men was close to $52,000, among the highest nationwide. One reason for the disparity may be the number of jobs directly, or even indirectly, tied to coal mining. Mining jobs are typically male dominated. While gender pay gaps are often thought to reflect career choices or social dynamics — such as women taking time off from their careers to raise a child — the Council of Economic Advisors reported in March that wage gaps "are seen even when men and women are working side-by-side performing similar tasks." Outside of just pay, however, adult women in Wyoming were the most likely in America to be high school graduates, with 94% having earned their diploma as of last year.

The state of Idaho does not offer funded pre-kindergarten programs for kids. While some parents in the state elect to pay for private preschool, some school districts choose to finance their own programs without state-level help. Additionally, few states had fewer women in management roles than Idaho, where only one-third of such jobs were filled by women. Idaho also lacks family-friendly paid leave and sick time laws. And the state decided not to expand Medicaid under the Affordable Care Act, which hurts women especially. According to a 2012 report from the Kaiser Family Foundation, "Because women are more likely than men to fall into one of the eligibility categories for Medicaid and are more likely than men to be poor, women comprise over two-thirds of beneficiaries."

A typical male in Mississippi earned less than $40,000 last year — less than male populations in any other state — and women in the state earned nearly $10,000 less than their male counterparts. Not only were incomes the lowest across the board, but women earned just 77% of what men made that year, one of the larger gender pay gaps. Mississippi residents, and women in particular, also had exceptionally poor rates of educational attainment. Less than 84% of women in the state had completed at least high school as of last year, versus 87.2% of women across the country. Like a handful of other states, only men represent Mississippi in the U.S. Congress. While women were relatively underrepresented in Mississippi politics, 42.5% of all management positions in the state were held by women, a higher proportion than in all but a few other states. Unfortunately, this did not seem to result in higher wages for women.

Women in North Dakota earned a median of just less than $35,000 in 2013, nearly $15,000 below a typical man's earnings. The magnitude of the gender wage gap may be due to the relatively small proportion of women in management positions. Women held just 28.3% of such positions in 2013, the lowest rate in the country. For women who choose to have children, North Dakota does not require employers to offer paid maternity leave. Additionally, the state is one of 10 states that do not provide funding for state preschool. However, the state may be trying to remedy some of the hardships women and their families face. Under the Affordable Care Act, North Dakota is expanding Medicaid to individuals and families with incomes up to 138% of the federal poverty line.